| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.57 | $1,449.59 | $6,140.70 | |
Cigna
| Facility | $641.21 | $1,335.00 | $3,314.62 | |
Kaiser Permanente
| Professional | $1,066.38 | $1,380.24 | $2,071.02 | |
United
| Facility | $1,003.00 | $2,156.00 | $3,522.00 |